KELLY ELLIS

SUMMIT, MS
NPI1760778559
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA2090)
Enumeration Date2011-06-21
Last Update Date2011-06-21
Business Address
-- KELLY ELLIS
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
Mailing Address
-- KELLY ELLIS
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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